Matthew Christopher Ferguson, M.O.T., OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Archbold, OH
NPI 1194148643 · NPPES record last updated Feb 3, 2014
Key facts
- NPI
- 1194148643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 005765 (OH)
- Practice address
- 205 Nolan Pkwy
Archbold, OH 43502-8404 - Phone
- (567) 444-4800
- NPI assigned
- Feb 3, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005765 | OH | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 005765 | OH | Yes |
Addresses
Primary practice location
205 Nolan Pkwy
Archbold, OH 43502-8404
Mailing address
205 Nolan Pkwy
Archbold, OH 43502-8404
Phone (567) 444-4800
Other providers in Archbold, OH
- Andrew John Emch
- Everside Health, LLC
- Fairlawn Haven
- Fairlawn Haven
- Kristine Siesel Fauver
- Flame Fitness LLC
- Jenna Marie Fleming
- Jessica Flores
- Fulton Anesthesia Associates Inc
- Kristy Gerig
All providers in Archbold, OH · Pediatric Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.